Doctor Name: | BRIAN MIDKIFF |
NPI Number: | 1184842312 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD11936 |
Business Practice Address: | 14 Rice Rd Templeton, MA - 014681332 |
Business Phone Number: | 9789392035 |
Business Fax Number: | 9789392039 |
Mailing Address: | Po Box 1045, WORCESTER |
State: | MA |
Postal Code: | 016131045 |
Phone Number: | 9789392035 |
Fax Number: | 9789392039 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | MD11936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |